In 2012, there were 26,168 North Carolina residents living with HIV/AIDS.1 Fifty-five North Carolina organizations received a total of $58,729,631 in Ryan White funding to fight the epidemic.2 North Carolina’s Ryan White funds are distributed through five parts: Part A (Metro Areas): $5,570,831 to Charlotte Mecklenburg County Health Department to create and support primary care and support services in the Charlotte Metropolitan Area. Part B (States): $41,084,201 to North Carolina Department of Health and Human Services to build a statewide response to the HIV epidemic. DHHS contracts with non-profit organizations and governmental agencies for medical and support services. Part C (Early Intervention and Capacity Development): $6,347,563 to clinics for outpatient care and capacity development. Part D (Women, children, youth): $3,362,894 to programs serving women, infants, youth, and their families. Part F (Dental Programs): $68,551 to providers of free dental services to low-income HIV positive patients. Part F (Special Projects of National Significance): $1,845,000 to groups seeking to develop and disseminate innovative models of HIV treatment. Part F (National Training & Technical Assistance): $450,591 to the North Carolina Department of Health and Human Services to provide technical support and training to grantees through a sub-grant to the AIDS Education and Training Center at UNC. Distribution of Ryan White Funding in North Carolina in FY 2012 Part A Part B Part C Part D Part F-Dental Part F-SPINS Part F-Nat'l Training 1 North Carolina Department of Health and Human Services, 12/31/12. GRANTS DATA WAREHOUSE, HEALTH RESOURCE AND SERVICE ADMINISTRATION, available at: http://granteefind.hrsa.gov/Search.aspx 2 Part A PART A ($5,570,831)3— Charlotte Transitional Grant Area Organization Bradley Reid Corporation Catawba Care 5 CharlotteMecklenburg Hospital Authority-CMC Meyers Park CMC Northeast Charlotte Dental Associates Community Empowerment Center Eastowne Family Physicians First Dental of Huntersville Gaston Family Health Services HomeCare for the Carolinas ID Consultants, P.A. Lions Services Eye Clinic, Inc. Mecklenburg County Health Department Mt. Zion Medical Clinics Quality Home Care Services Services HIV prevention, psycho-social education and case management services. Medical case management, transportation assistance, and financial assistance for medication, health insurance, dental care, off-site specialty care to low-income, HIV testing. Medical care, pharmacy consultation, referral services, and case management services, nutritional therapy. Location Charlotte Funding4 $75,000 Rock Hill, SC $330,462 Charlotte $1,680,570 Ambulatory outpatient medical care. Oral Health Care. Concord Charlotte $330,951 $250,000 Transportation services, community outreach. Charlotte $50,000 HIV/AIDS specialized medical care to Ryan White. Charlotte $330,340 Oral health care and dentistry services. Huntersville $110,000 Primary and HIV specialty care provider, dental, behavioral health services. Non-medical care and HIV case management. Gastonia $298,462 Charlotte $65,000 Medical care and consultation. Charlotte $138,000 Vision health services. Charlotte $22,000 HIV testing, counseling, education, and referrals. Charlotte $211,000 Medical care and assistance program Charlotte $130,000 Medical care, medication assistance, transportation services. Charlotte $157,280 3 GRANTS DATA WAREHOUSE, HEALTH RESOURCE AND SERVICE ADMINISTRATION, available at: http://granteefind.hrsa.gov/Search.aspx 4 RYAN WHITE PROVIDER, MECKLENBURG COUNTY HEALTH DEPARTMENT, available at: http://charmeck.org/mecklenburg/county/HealthDepartment/RyanWhite/Pages/ProviderListing.aspx 5 Provider is located in South Carolina but receives TGA funding from Mecklenburg County Health Department. 2 Organization Regional AIDS Interfaith Network Rosedale Infectious Diseases, PLLC Services Care management, housing, socialization, and mental health. Location Charlotte Funding4 $60,000 Full service HIV/Infectious Disease clinic. Charlotte $452,200 Overview of Part B, C, D, and F Funding Part B ($41,084,201)6 -- The State of North Carolina received $41,084,201 in Part B funding, with $27,069,6337 allocated to the state’s AIDS Drug Assistance Program. Of its Part B funds, the State distributed $9,746,970 to fifteen (15) sub-recipient agencies.8 Part C ($6,347,563)9—Twelve (12) primary care providers received a combined $6 million+ in Part C funding to support early intervention programs and capacity development projects. Early intervention includes testing and medical care. Part D ($3,362,894)10—Seven (7) primary care providers received over $3 million Ryan White Part D funding for services for women, infants, children, youth and their families. Part D funding supports family centered primary and specialty medical care in addition to support services. Part F ($2,364,142) Dental Reimbursement ($68,551)11—Three (3) programs received Ryan White Part F—Dental funding for reimbursement for providing dental services to HIV positive clients. Special Projects of National Significance ($1,845,000)12—Five (5) agencies received Part F SPNS funding to develop innovative treatment systems. National Training & Technical Assistance ($450,591)13—The North Carolina Department of Health and Human Services received Part F NTTA funds to provide technical support and training to grantees, through a sub-grant to the AIDS Education and Training Center at UNC. 6 GRANTS DATA WAREHOUSE, HEALTH RESOURCE AND SERVICE ADMINISTRATION, available at: http://granteefind.hrsa.gov/Search.aspx; Jacquelyn Clymore, NC Department of Health and Human Services (personal communication, February 22, 2013) 7 This figure includes a base ADAP earmark of $22,302,764, plus $1,766,869 in ADAP Supplemental Funding, and $3,000,000 in ADAP Shortfall Relief funding. 8 Jacquelyn Clymore, NC Department of Health and Human Services (personal communication, February 22, 2013). 9 GRANTS DATA WAREHOUSE, HEALTH RESOURCE AND SERVICE ADMINISTRATION, available at: http://granteefind.hrsa.gov/Search.aspx. All per provider Part C funds shown below are also available on GRANTS DATA WAREHOUSE website. 10 Id. All per provider Part D funds shown below are also available on GRANTS DATA WAREHOUSE. 11 Id. All per provider Part F-Dental funds shown below were obtained from GRANTS DATA WAREHOUSE . 12 Id. All per provider Part F-SPNS funds shown below were obtained from GRANTS DATA WAREHOUSE. 13 Id. 3 Figure 2: North Carolina Regional HIV Care Networks Non-TGA Funding Breakdown Region 1 (Avery, Buncombe, Cherokee, Clay, Cleveland, Graham, Haywood, Henderson, Jackson, Macon, Madison, McDowell, Mitchell, Polk, Rutherford, Swain, Transylvania, Yancey) Total Ryan White Funding: $1,980,215 The Western North Carolina Community Health Services, Inc. Part B: $834,727 Part C: $675,488 Part D: $470,000 Total Ryan White Funding: $1,980,215 Website: www.hivcarewnc.org Services: Outpatient ambulatory medical care, pharmaceutical assistance, dental, behavioral health, and medical case management in a culturally competent setting. Region 2 (Alexander, Alleghany, Ashe, Burke, Caldwell, Catawba, Lincoln, Watauga, Wilkes) Total Ryan White Funding: $806,067 Catawba Valley Medical Center/Fairgrove Primary Health Part B: $415,400 Part C: $390,667 Total Ryan White Funding: $806,067 Website: https://www.catawbavalleymedical.org/ryan-white-part-c-clinicServices: Primary and specialty HIV medical care, access to substance abuse and mental health services, case management, and benefits advocacy services. 4 Region 3 (Davidson, Davie, Forsyth, Iredell, Rowan, Stokes, Surry, Yadkin) Total Ryan White Funding: $2,483,493 Wake Forest University Health Services Part B: $1,352,785 Part C: $525,845 Part D: $500,000 Part F - Dental: $24,864 Part F-SPINS: $80,000 Total Ryan White Funding: $2,483,494 Website: http://www.wakehealth.edu/Infectious-Diseases/Clinic/The-Ryan-White-HIV-Primary-Care-andInfectious-Diseases-Speciality-Clinic.htm Services: Wake Forest University hosts one of the largest infectious disease clinics in the state and serves over 1,900 patients each year. Wake Forest University also manages a satellite clinic in High Point, NC. primary and specialty care, case management, HIV testing, as well as a dental clinic. Region 4 (Alamance, Caswell, Guilford, Montgomery, Randolph, Rockingham, Stanly) Total Ryan White Funding: $1,380,072 Central Carolina Health Network Part B: $978,885 Part D: $410,187 Total Ryan White Funding: $1,380,072 Services: Medical care, dental care, mental health counseling, case management and transportation. Region 5 (Bladen, Cumberland, Harnett, Hoke, Moore, Richmond, Robeson, Sampson, Scotland) Total Ryan White Funding: $2,807,212 Robeson County Health Department Part B: $1,071,467 Website: http://publichealth.southernreionalahec.org/roveson/comd.html Services: Case management, HIV Screenings, and specialty HIV care. Robeson Health Care Corp. Part C: $541,520 Part F-SPINS: $79,826 Total Ryan White Funding: $621,346 Website: http://www.rhcc1.com/programs/hiv-speciality-services Services: HIV testing, counseling, and primary care referrals 5 Tri-County Community Health Center (CommWell Health) Part C: $338,218 Part D: $476,196 Part F-SPINS: $299,935 Total Ryan White Funding: $1,114,349 Website: http://www.cphealthnet.org/tricounty.htm Services: Specialty medical care and on site residential substance abuse treatment for adults and families. Region 6 (Chatham, Durham, Franklin, Granville, Johnston, Lee, Orange, Person, Vance, Wake, Warren) Total Ryan White Funding: $8,076,048 Wake County Human Services Part B: $1,826,057 Part C: $527,500 Total Ryan White Funding: $2,353,557 Website: http://www.wakegov.com/humanservices.publichealth/Pages/clinics.aspx#2 Services: HIV/AIDS testing and counseling for emerging communities. Also comprehensive primary medical care and social services, as well as case management. Alliance of AIDS Services-Carolina Part B: $732,557 Website: http://www.aas-c.org/index.php?option-com Services: Primary care referrals, help navigating health care, monetary assistance for clients ineligible to receive ADAP, mental health services, dental care, transportation, food pantry, optical services, and housing assistance to HIV+ clients Duke University Part B: $434,366 Part D: $500,000 Total Ryan White Funding: $934,366 Website: http://www.dukehealth.org/services/dart/programs/partners_in_caring Services: Pastoral care to HIV+ individuals, through Partners in Caring. Works to establish caring and supportive relationships with local churches. Also, outpatient services for women, infants, youth, and their families. Duke University School of Law Part B: $100,000 Website: http://law.duke.edu/aidsproject/ Services: Free legal assistance to low-income HIV-infected clients. Lincoln Community Health Center Part C: $485,856 Website: https://www.dtmi.duke.edu/about-us/organization/duke-center-for-community-research/durhamhealth-innovations/dhi-oversight-committee/dhi-projects/HIV-STD-hepatitis_Final-Report.pdf Services: Early intervention services including outpatient care and free testing to the Durham community. 6 UNC School of Medicine Part B: $285,104 Part C: $699,947 Part F-Dental: $28,604 Part F-SPNS: $396,535 Total Ryan White Funding: $1,410,190 Website: https://www.med.unc.edu/infdis/research/hiv-stds Services: pPimary care services to patients from all regions. UNC School of Dentistry Part F: $14,968 Website: https://www.dentistry.unc.edu/research/JWC_Lab/patients.html Services: Oral health care to HIV+ patients. Region 7 (Brunswick, Columbus, Duplin, New Hanover, Onslow, Pender) Total Ryan White Funding: $1,022,278 New Hanover Regional Medical Center Part B: $323,716 Part C: $388,562 Part D: $310,000 Total Ryan White Funding: $1,022,278 Website: http://www.nhrmc.org/body.cfm?id=1874 Services: Medical and psychosocial support to more than 700 HIV+ patients Region 8 (Edgecombe, Halifax, Nash, Northampton, Wilson) Total Ryan White Funding: $1,378,946 Carolina Family Health Centers, Inc. Part B: $368,546 Part C: $590,000 Total Ryan White Funding: $958,546 Website: http://www.cfhcnc.org/hiv-aids.html Services: Primary medical care services, oral health services, in house pharmacy, medication adherence services, behavioral health, support groups peer counseling, nutritional therapy, and emergency services. Rural Health Group Part B: $79,150 Part C: $341,250 Total Ryan White Funding: $420,400 Website: http://www.rhgnc.org/hendersonMedical.html Services: Primary medical and dental care services to uninsured or underinsured persons living with HIV/AIDS. Peer education and housing assistance are also supported through the program. 7 Region 9 (Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford, Hyde, Pasquotank, Perquimans, Tyrrell) Total Ryan White Funding: $464,230 Herford County Public Authority Part B: $464,230 Website: http://www.hertfordpublichealth.com/chsd-hivdisease.htm Services: Aims to improve accessibility to specialty HIV Disease are in the primary care setting. comprehensive care management and transportation services in addition to case management. Region 10 (Beaufort, Carteret, Craven, Greene, Jones, Lenoir, Martin, Pamlico, Pitt, Washington, Wayne) Total Ryan White Funding: $1,603,838 Eastern Carolina University-Brody School of Medicine Part B: $479,980 Part C: $527,947 Part D: $596,511 Total Ryan White Funding: $1,603,838 Website: http://www.ecu.edu/csdhs/im/InfectiousDiseases/Ryan-White.cfm Services: Community outreach and education, non-traditional testing, as well as retention and linkage to care services. Charlotte (TGA) Total Non Part A Ryan White Funding: $400,000 CW Williams Community Health Center Part C: $300,000 Part D: $100,000 Website: http://www.cwwilliams.org/v5/index.php Services: HIV primary care services 8